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Indian Heart Journal

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https://www.readbyqxmd.com/read/27773420/violence-against-doctors-in-the-indian-subcontinent-a-rising-bane
#1
LETTER
Paurush Ambesh
Incidents of violence against doctors in the Indian subcontinent have increased in the last few years. Most doctors in India, China, Pakistan, Nepal and Sri Lanka are concerned about their safety at work. The problem is worse in government hospitals, which characteristically lack appropriate security protocols. In order to tackle the issue, doctors need to accept the problem, discuss the various causative factors, understand the public sentiment and collaborate with the government to find a solution. Formulation of legal provisions and standards to ensure the safety of health workers is the need of the hour...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773419/is-evidence-based-medicine-a-gold-standard-or-can-it-be-influenced
#2
LETTER
Vitull K Gupta, Praneet Wander, Meghna Gupta
No abstract text is available yet for this article.
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773418/complications-encountered-in-coronary-chronic-total-occlusion-intervention-prevention-and-bailout
#3
REVIEW
Debabrata Dash
Despite the continuing developments of improved medical devices and increasing operator expertize, coronary chronic total occlusion (CTO) remains as one of the most challenging lesion subsets in interventional cardiology. Percutaneous coronary intervention (PCI) of CTO is a complex procedure carrying the risk of complications that are responsible for significant morbidity and mortality. The complications can be classified as coronary (such as coronary occlusion, perforation, device embolization, or entrapment); cardiac non-coronary (such as periprocedural myocardial infarction); extra cardiac (such as vascular access complications, systemic embolization, contrast-induced nephropathy, and radiation-induced injury)...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773417/setting-up-a-transcatheter-aortic-valve-implantation-program-indian-perspective
#4
REVIEW
John Jose, Geetesh Manik, Mohamed Abdel-Wahab
Transcatheter aortic valve implantation (TAVI) has revolutionized the management of elderly patients with symptomatic severe aortic stenosis in the western world. It is a valuable alternative to surgical aortic valve replacement in patients, who are inoperable or at high surgical risk due to co-morbidities. The prevalence of aortic stenosis increases sharply with age after the sixth decade and is expected to have a significant impact on the geriatric health care system of India, given the rapid increase in life expectancy in recent years...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773416/vascular-complications-post-transcatheter-aortic-valve-procedures
#5
REVIEW
Ashvarya Mangla, Saurabh Gupta
Transcatheter aortic valve replacement (TAVR) has rapidly emerged as the standard of care for severe symptomatic aortic stenosis in patients whose comorbidities put them at prohibitive risk for surgical aortic valve replacement (SAVR). Several trials have demonstrated superior outcomes with TAVR compared to medical management alone. TAVR has also shown favorable outcomes in patients at high risk for SAVR. TAVR can be associated with significant vascular complications, which adversely impact outcomes, and operators should be cognizant of their early recognition and appropriate management...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773415/diuretics-in-primary-hypertension-reloaded
#6
EDITORIAL
Sundeep Mishra
Diuretics have long been cherished as drugs of choice for uncomplicated primary hypertension. Robust mortality and morbidity data is available for diuretics to back this strategy. Off-late the interest for diuretics has waned off perhaps due to availability of more effective drugs but more likely due to perceived lack of tolerance and side-effect profile of high-dose of diuretics required for mortality benefit. Low-dose diuretics particularly thiazide diuretics are safer but lack the mortality benefit shown by high-dose...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773414/embolised-asd-device-in-lv
#7
LETTER
Monish S Raut, Sumir Dubey, Arun Maheshwari, Manish Sharma
No abstract text is available yet for this article.
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773413/a-case-of-recurrent-unstable-angina-insight-from-optical-coherence-tomography-imaging
#8
LETTER
Suma M Victor, Vijayakumar Subban, Nandhini Jayakumar, Ajit S Mullasari
Intimal tear is a rare cause of ACS and is angiographically indistinguishable. OCT provides unprecendented insight to the mechanism of ACS with its near tissue level definition. This is a case of unstable angina with non-significant RCA lesion. OCT showed intimal tear/flaps with evidence of thrombi, thus clinching the diagnosis.
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773412/pulmonary-hypertension-registry-of-kerala-prokerala-rationale-design-and-methods
#9
S Harikrishnan, G Sanjay, M Ashishkumar, Jaideep Menon, G Rajesh, R Krishna Kumar
BACKGROUND: Pulmonary hypertension (PH) is a disease associated with a high morbidity and mortality. There is paucity of data regarding PH from the developing countries including India. Idiopathic pulmonary arterial hypertension is the most important etiological factor in the western world, but PH secondary to rheumatic heart disease, chronic obstructive pulmonary disease and untreated congenital heart disease could well be the predominant causes in developing countries like India. The main objective of the PROKERALA study - Pulmonary hypertension Registry Of Kerala is to collect data regarding the etiology, practice patterns and one-year outcomes of patients diagnosed to have PH...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773411/an-experience-with-off-pump-technique-for-repair-of-anomalous-left-coronary-artery-from-pulmonary-artery-alcapa
#10
Suresh V Joshi, Abhijeet V Naik, Parag S Bhalgat, Bhushan Chavan, Prasanna Salvi
BACKGROUND: Anomalous origin of left coronary artery from pulmonary artery is a very rare disease with incidence of one every 300,000 live births. It has a high mortality of 80% in the first year of life. This observational study summarized our experience using the technique of subclavian arterial bypass without the use of cardiopulmonary bypass (CPB) for treatment of this coronary anomaly in pediatric population. The study aims to revive an earlier technique, with modifications, as an alternative to the existing coronary translocation...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773410/total-arterial-anaortic-off-pump-coronary-artery-bypass-grafting-in-a-patient-with-heart-failure-case-report
#11
Kamales Kumar Saha, Brian Pinto, Manish Arya, Kakalee K Saha
A 69-year-old male diabetic patient of heart failure underwent successful off-pump coronary artery bypass grafting (CABG) using both internal thoracic arteries and left radial artery. There was improvement of left ventricular ejection fraction within 4 days. This is the first ever case report of off-pump CABG in a heart failure patient.
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773409/role-of-pet-ct-in-the-assessment-of-myocardial-viability-in-patients-with-left-ventricular-dysfunction
#12
Madhur Kumar Srivatsava, M Indirani, I Sathyamurthy, G Sengottuvelu, Avani S Jain, S Shelley
AIM: Role of PET-CT in assessment of myocardial viability in patients with LV dysfunction. METHODS: This prospective study included 120 patients with LV dysfunction who underwent 99mTechnetium-Sestamibi myocardial perfusion SPECT-CT and 18FFDG cardiac PET-CT. They also underwent serial echocardiography and coronary angiography along with myocardial perfusion and FDG PET study. RESULTS: Thirty-three patients had single vessel disease, 48 had triple vessel disease, and rest had double vessel disease...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773408/assessment-of-left-ventricular-ejection-force-and-sympathetic-skin-response-in-normotensive-and-hypertensive-subjects-a-double-blind-observational-comparative-case-control-study
#13
Tarun Saxena, Sanjay Patidar, Manjari Saxena
BACKGROUND: Pathophysiology of essential hypertension remains obscure. Correlation among ventricular ejection force, sympathetic activity, and hypertension is less clearly narrated in hypertensive subjects. AIMS AND OBJECTIVES: To assess correlation among ventricular ejection force, sympathetic activity, and hypertension in hypertensive subjects, and to be compared with normotensive subjects. METHODS: This is a case-control study to assess left ventricular ejection force (LVEF) and sympathetic skin response, in normotensive (group 1; control), and hypertensive subjects (group 2; cases)...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773407/a-simple-method-for-bachmann-s-bundle-pacing-with-indigenous-modification-of-j-stylet
#14
Asit Das, Suvro Banerjee, S C Mandal
BACKGROUND: Pacing in the Bachmann's bundle (BB) area (upper atrial septum) appears superior to right atrial appendage or free wall stimulation for the prevention of paroxysmal atrial fibrillation in patients with atrial conduction delay. However, insertion of active fixation lead in the upper atrial septal position is difficult and time consuming with conventional stylet, inhibiting application of this pacing method in routine practice. METHODS: The technique of positioning the atrial lead in BB with hand-made stylet is presented with emphasis on electrocardiographic P-wave pattern and fluoroscopic landmarks...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773406/a-randomized-placebo-controlled-trial-with-amiodarone-for-persistent-atrial-fibrillation-in-rheumatic-mitral-stenosis-after-successful-balloon-mitral-valvuloplasty
#15
Vinoth Kumar Vilvanathan, Budunur C Srinivas Prabhavathi Bhat, Manjunath Cholenahally Nanjappa, Bharathi Pandian, Vithal Bagi, Sridhar Kasturi, Shiva Kumar Bandimida
OBJECTIVE: Atrial fibrillation is the most common sustained arrhythmia in patients with rheumatic heart disease (RHD). This study was conducted to determine the maintenance of sinus rhythm with amiodarone therapy following DC cardioversion (DCCV), early after successful balloon mitral valvuloplasty (BMV). METHODS: Patients were randomized to amiodarone group and placebo group and their baseline characteristics were recorded. DCCV was done 48h after BMV. After cardioversion, oral amiodarone was started initially 200mg three times a day for 2 weeks, then 200mg twice daily for two weeks followed by 200mg once daily for 12 months...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773405/cardiovascular-risk-profile-and-management-of-atrial-fibrillation-in-india-real-world-data-from-realiseaf-survey
#16
C Narasimhan, Jagmohan Singh Verma, A G Ravi Kishore, Balbir Singh, Sameer Dani, Kamaldeep Chawala, Azizul Haque, Aftab Khan, Mohan Nair, Amit Vora, V Rajasekhar, Joy M Thomas, Anoop Gupta, Ajay Naik, V S Prakash, Lisa Naditch, P Gabriel Steg
BACKGROUND: Atrial fibrillation (AF) is the most common sustained arrhythmia with high risk for many cardiovascular (CV) complications. Adherence to recommended management guidelines is important to avoid complications. In India, there is little knowledge on how AF is managed in real world. METHODS: This is a cross-sectional study of patients in India enrolled in RealiseAF survey between February 2010 and March 2010 with a diagnosis of AF within the last 12 months...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773404/epidemiological-study-of-non-communicable-diseases-ncd-risk-factors-in-tribal-district-of-kinnaur-hp-a-cross-sectional-study
#17
Prakash Chand Negi, Raman Chauhan, Vivek Rana, Vidyasagar, Kavinder Lal
BACKGROUND: There are no data available on the prevalence of non-communicable diseases (NCD) risk factors among the tribal population of hill state of Himachal Pradesh (HP). The epidemiological study of NCD risk factors was done in the tribal population of district Kinnaur of HP to estimate the burden of NCD risk factors and their risk determinants. METHODS: WHO STEP wise approach was used for screening of the core NCD risk indicators in 3582 randomly selected natives of Kinnaur aged 20-70 years by trained Health workers of the district health services...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773403/statin-therapy-lipid-lowering-therapy-among-indian-adults-with-first-acute-coronary-event-the-dyslipidemia-residual-and-mixed-abnormalities-in-spite-of-statin-therapy-remains-study
#18
Salgaonkar V Jaywant, A K Singh, Mundkur S Prabhu, R Ranjan
OBJECTIVE: The primary objective was to evaluate the effect of statin therapy/lipid lowering therapy (LLT) on lipid profile, in adults presenting with first acute coronary event. METHODS AND MATERIAL: A multicentre, observational, prospective cohort study of lipid profiles pre- and post-statin therapy/LLT, among adult patients with confirmed diagnosis of first acute coronary event. The primary outcome measures were low-density lipoprotein cholesterol (LDL-C) in mg/dl, high-density lipoprotein cholesterol (HDL-C) in mg/dl and triglycerides (TG) in mg/dl at baseline and end of study (EOS, 12 weeks [mean: 13...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773402/spectrum-of-congenital-mitral-valve-abnormalities-associated-with-solitary-undifferentiated-papillary-muscle-in-adults
#19
Jagdish C Mohan, Madhu Shukla, Vishwas Mohan, Arvind Sethi
BACKGROUND: Congenital anomaly wherein the mitral valve leaflets are directly attached to the papillary muscle(s) (PM) with or without short under-developed chords is rarely reported in adults. Patients with two PMs with an intervening fibrous bridge have also been included under this head in previous studies. METHODS: Echocardiography enables accurate evaluation of the morphology and function of valve leaflets, chordae tendineae, and PM. This report describes a series of six patients aged 56-84 years who had abnormal mitral valve with a large solitary and anomalously inserted PM seen over a period of 3 years...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27773401/crusade-bleeding-score-as-a-predictor-of-bleeding-events-in-patients-with-acute-coronary-syndrome-in-zagazig-university-hospital
#20
Mohamed M Al-Daydamony, El-Sayed M Farag
AIM: To examine the value of CRUSADE bleeding score in predicting bleeding events in our local patients with acute coronary syndrome (ACS) in Zagazig University Hospitals. METHODS: Our study included 240 patients with ACS. They underwent history and clinical examination; 12-lead electrocardiography; echocardiography; troponin I, hematocrit value; estimated glomerular filtration rate (eGFR); application of CRUSADE score; and follow-up of the hospital stay and documentations of events...
September 2016: Indian Heart Journal
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